HomeMy WebLinkAboutReview Checklist � �� �- 7 �7
TOWN OF YARMOUTH
• SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. � Lot � Zone of Contribution: In Out A ge ,
Commercial: ResidentiaL• �L ,
Street: � ��
Village: 1d' Floor Plan: '� #Bedrooms:�_�� '�
Owner: � Installer: I
Address: Phone: - �
Phone: �,.����� � �l��; ����
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Builder: Engineer:
Address: Phone: �S� �
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Phone: �-���. /. ��; �'� �;�' zJ. ;���"'-s�� ;
2 �+�'l'fis�-�� f.Ai �
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N/A YES NO �
1.Re uired#of copies received
2.Date of soils exam and ercolation test not older than 2 years
3. 4-5 ft of naturall occurrin ervious material, above water table
4.Foundation 2 ft above high oint of road H.P.: Fnd: Var.: �--
5. Water line 10 ft from septic com onents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands t�
7. Se tic tank minimum 10 ft from founda.tion, deck Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Var.: � �
10.Leaching minimum 150 ft from drinkin welU25 ft irrigation well Var.: ;
11.Ta.nk/leachin minimum 10 ft from ro erty line Var.:
12. S stem meets all other setback r uirements Var.: �
13.Uses ad'ustment for ma�mum hi groundwater Var.: � �.--
14.Leachin set 4-5 ft above adj.water or bottom o s e �� �
15. System not in to or subsoil(A,B horizons)or 5'removal
16.Pro osed contours are suitable '
17. S stem meets slo e r uirements-min. 1/8", '/4" eferred
18. S stem meets breakout requirements PVC liner: �,� � all: �
19. Specified tee sizes are ro er, as baffle on ontlet tee
20. Sewa e is under 10,000 gpd for arcel
21.No arbage dis osal
- 22. S stem ad uatel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox �i
24.Ma.nhole covers within 6"of ade, ump chamber cover to grade
25.Inspection ort on la.stic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes ��
27.Pum system-2" line,wee hole,check valve,tee in dbo�pump size
28. S tic tank/ um chamber to be factory waterproofed
29.Vent provided if leachin below 3 feet,under driveway/ arking
30.Buoyancy calculations for tank/ um chamber
31.E ' eer to ins ect and cert' soils: wall: commercial:
32.En 'neer/Registered Sanitarian and Land Surv or stam s/signature
33.H-201oading is subject to vehicular traffic, groundwater
34.Title V A lication and permit fee, insta.11er si ature
35.Foundation footin min.2 feet above ad'usted ound water for new house
36.Deed Restriction r uired max. #bedrooms: m�. flow: d �__
37.Check area lots far groundwater/Label groundwater in Assessor's Map
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Plan reviewed by: �v1 6/03/03